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A psychiatric-mental health nurse is working with a patient who is being treated for depression. Which patient statement would indicate that her spirituality is intact?
- A. `My church friends came to visit me this past Sunday afternoon.
- B. `Nothing will ever be the same again; my life is not worth living.
- C. `I know I am as well off as I can be under the circumstances.
- D. `I know God must be punishing me for all my sins.
Correct Answer: A
Rationale: The correct answer is A because the patient's statement indicates that she has a support system in her church friends who visited her. This demonstrates a connection to a spiritual community, which can provide comfort, hope, and a sense of belonging. It shows that the patient values and maintains relationships with individuals who share her spiritual beliefs, contributing to her overall well-being.
Choices B, C, and D are incorrect:
- B reflects hopelessness and a lack of belief in the value of life, which is not indicative of intact spirituality.
- C suggests resignation and acceptance of the current circumstances without any mention of spiritual beliefs or practices.
- D indicates a sense of guilt and punishment, which may be indicative of a distorted or negative view of spirituality rather than an intact spiritual connection.
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A nurse is caring for a patient who is hospitalized for a mental disorder. The nurse is legally obligated to breach the patient’s confidentiality if the patient states which of the following?
- A. `I think that the federal government is spying on me.
- B. `I get really ‘turned on’ by your appearance.
- C. `That doctor I had today really made me angry.
- D. `When I get out of here, I’m going to kill my neighbor.
Correct Answer: D
Rationale: Rationale: The correct answer is D because the nurse has a duty to breach confidentiality if the patient expresses an intent to harm themselves or others. In this case, the patient's statement about killing their neighbor indicates a serious threat that must be reported to ensure safety. Choices A, B, and C do not pose an immediate threat to the patient or others, so they do not require breaching confidentiality.
A 22-year-old patient with schizophrenia is refusing his antipsychotic medication. He states, `I don’t like the dopey way it makes me feel. I feel like I’m walking under water when I take it. The nurse explains to him, `Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better. This conversation reflects a conflict between which two types of ethical principles?
- A. Autonomy and justice
- B. Paternalism and veracity
- C. Justice and nonmaleficence
- D. Autonomy and beneficence
Correct Answer: D
Rationale: The correct answer is D: Autonomy and beneficence. Autonomy refers to the patient's right to make decisions about their own healthcare. In this case, the patient is refusing medication based on how it makes them feel, which reflects their autonomy. Beneficence refers to the healthcare provider's duty to act in the patient's best interest. The nurse is trying to persuade the patient to take the medication by explaining its benefits for treating the chemical imbalance associated with schizophrenia. This reflects the conflict between respecting the patient's autonomy while also promoting their well-being through beneficence.
Choices A, B, and C are incorrect:
A: Autonomy and justice do not directly apply to the conflict in the scenario.
B: Paternalism involves overriding a patient's autonomy for their own good, but veracity (truthfulness) is not a central issue in this scenario.
C: Justice and nonmaleficence are not the primary ethical principles in conflict; the focus is on autonomy and benef
A nurse is providing care to a patient with a mental disorder classified by the DSM- IV-TR. The nurse understands that although the first three axes appear to contain all the diagnostic information about a patient, a truly accurate picture of the client is incomplete without considering other factors such as an estimate of current functioning and:
- A. Life stressors
- B. Cultural background
- C. Marital status
- D. Genetic history
Correct Answer: A
Rationale: Step 1: Consideration of life stressors is crucial in understanding the impact on the patient's mental health.
Step 2: Life stressors can significantly affect the course and severity of mental disorders.
Step 3: Evaluating life stressors provides insight into triggers and exacerbating factors.
Step 4: Cultural background, marital status, and genetic history are important but may not directly influence current functioning as much as life stressors.
Summary: A is correct as it directly impacts current functioning, while B, C, and D are important but may not provide as much insight into the patient's current state.
A psychiatric-mental health nurse is preparing a presentation about recovery for a group of newly hired nurses for the mental health facility. Which of the following would the nurse identify as one of the most important concepts?
- A. Self-direction
- B. Peer support
- C. Respect
- D. Hope
Correct Answer: D
Rationale: The correct answer is D: Hope. Hope is a crucial concept in the recovery process, as it instills optimism and motivates individuals to strive for a better future. It helps individuals envision a life beyond their current struggles. Self-direction (A) is important but without hope, individuals may lack the motivation to direct their recovery efforts. Peer support (B) and respect (C) are valuable components, but hope serves as the foundation for building strong relationships and fostering a sense of dignity and empowerment.
When integrating the Neuman systems model while caring for a patient with a mood disorder, the nurse would focus on which of the following about the patient?
- A. Behaviors
- B. Relationships
- C. Self-care activities
- D. Stressors
Correct Answer: A
Rationale: The correct answer is A (Behaviors) because, when integrating the Neuman systems model for a patient with a mood disorder, the nurse would focus on the patient's behaviors to assess how the disorder is impacting their daily functioning and interactions. By observing behaviors, the nurse can gain insights into the patient's coping mechanisms, emotional responses, and overall mental health status. This information is crucial for developing a tailored care plan that addresses the patient's specific needs.
Summary of why other choices are incorrect:
- Relationships (B): While relationships may play a role in the patient's mental health, the primary focus in the Neuman systems model for a patient with a mood disorder is on individual behaviors.
- Self-care activities (C): While self-care is important, it may not be the primary focus when caring for a patient with a mood disorder using the Neuman systems model.
- Stressors (D): While stressors can contribute to a mood disorder, the Neuman systems model emphasizes the assessment of